Individual
LORA LOUISE MORNINGSTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Contact information
Practice address
300 W WASHINGTON AVE STE 210B, JACKSON, MI 49201-2160
(517) 344-0913
Mailing address
121 VICTORIA DR, BROOKLYN, MI 49230-9769
(517) 392-0746
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704363978
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704363978
MI
Other
Enumeration date
07/18/2022
Last updated
06/13/2025
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